Management of cubitus varus deformity by three-dimensional osteotomy: analysis of outcome

Authors

  • M. Zahidul Haq Khan National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Krishna Priya Das Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • M. Ashraful Islam Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • M. Hafijur Rahman Sarker Department of Orthopaedics, Charfession Upazila Health Complex, Bhola, Bangladesh
  • Nabil Zunayed Sidny Department of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242650

Keywords:

Cubitus varus deformity, Mayo elbow performance score, Pediatric orthopedics, Three-dimensional osteotomy

Abstract

Background: Cubitus varus deformity, commonly resulting from malunited supracondylar fractures of the humerus, is prevalent in pediatric and adolescent populations. Traditional treatment methods often fall short in addressing the complex three-dimensional nature of this deformity. This study aims to evaluate the efficacy and outcomes of three-dimensional osteotomy in correcting cubitus varus deformity.

Methods: This prospective interventional study was conducted at the Department of Orthopaedic Surgery, BSMMU, Shahbag, Dhaka, from March 2016 to September 2018. A total of 40 patients aged 8 to 20 years with cubitus varus deformity were enrolled. Participants underwent three-dimensional osteotomy, and outcomes were assessed using the Mayo Elbow Performance Score (MEPS) and functional recovery parameters.

Results: The majority of patients (75%) achieved bone union within 8-10 weeks post-osteotomy. The MEPS results were promising, with 40% of patients scoring 'Excellent' and 45% scoring 'Good'. Functional outcomes were predominantly positive, with 95% of patients reporting satisfactory results. The complication rate was low, with 80% of patients experiencing no postoperative complications.

Conclusions: Three-dimensional osteotomy is an effective and reliable surgical intervention for treating cubitus varus deformity, offering high rates of patient satisfaction, minimal complications, and improved functional outcomes. This technique presents a promising option for orthopedic surgeons in managing this complex deformity.

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Published

2024-09-02

Issue

Articles In Press

Section

Original Research Articles